CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$343 - $3,572
from 4 insurers · median $3,415
Typical for a hospital with this service line
Ohio State University Health System · Upper Sandusky, OH
32
In-network payers
119
Disclosed rate categories
25
Beds
4
Care quality
Wyandot Memorial Hospital is a 25-bed government - hospital district or authority hospital in Upper Sandusky, OH, affiliated with Ohio State University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 119 disclosed rate categories.
CCN (Medicare provider number)
361329
NPI
1477554475
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Wyandot Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$343 - $3,572
from 4 insurers · median $3,415
Typical for a hospital with this service line
CT imaging
CPT 70450
$121 - $1,315
from 4 insurers · median $1,258
Typical for a hospital with this service line
CT imaging
CPT 74176
$162 - $2,321
from 4 insurers · median $2,219
Typical for a hospital with this service line
CT imaging
CPT 71275
$291 - $2,966
from 4 insurers · median $2,836
Typical for a hospital with this service line
MRI imaging
CPT 70553
$372 - $4,715
from 4 insurers · median $4,282
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$1,469 - $8,168
from 4 insurers · median $7,419
Hospital reports pet scan services to CMS
Cardiology and vascular testing
CPT 93306
$187 - $1,155
from 4 insurers · median $1,105
Typical for a hospital with this service line
MRI imaging
CPT 70551
$188 - $3,350
from 4 insurers · median $3,042
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$850 - $2,392
from 4 insurers · median $2,287
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$30 - $324
from 4 insurers · median $310
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$850 - $1,718
from 4 insurers · median $1,643
Typical for a hospital with this service line
MRI imaging
CPT 72148
$183 - $2,629
from 4 insurers · median $2,387
Typical for a hospital with this service line
MRI imaging
CPT 73721
$237 - $2,956
from 4 insurers · median $2,685
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$700 - $1,897
from 4 insurers · median $1,813
Typical for a hospital with this service line
Ultrasound
CPT 76705
$92 - $713
from 4 insurers · median $682
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,188 - $3,652
from 4 insurers · median $3,491
Typical for a hospital with this service line
Mammography
CPT 77067
$113 - $134
from 4 insurers · median $128
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$700 - $1,759
from 4 insurers · median $1,681
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$36 - $589
from 4 insurers · median $563
Typical for a hospital with this service line
Ultrasound
CPT 76856
$111 - $816
from 4 insurers · median $741
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$113 - $640
from 4 insurers · median $581
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$410 - $1,374
from 4 insurers · median $1,248
Hospital reports nuclear medicine services to CMS
Ultrasound
CPT 76770
$114 - $784
from 4 insurers · median $712
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,247 - $3,396
from 3 insurers · median $3,247
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 579% | 5 | 16 |
| Insurer B* | 24 | 554% | 10 | 10 |
| Insurer C* | 24 | 521% | 9 | 12 |
| Insurer D* | 23 | 86% | 0 | 23 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Wyandot Memorial Hospital.
885 North Sandusky Avenue, Upper Sandusky, OH 43351
(419) 294-4991
About Wyandot Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wyandot Memorial Hospital range from $372 to $4,715 across 4 insurers. Aetna's rate is $372. The median at nearby comparable hospitals is $3,022. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Wyandot Memorial Hospital range from $343 to $3,572 across 4 insurers. Aetna's rate is $343. The median at nearby comparable hospitals is $2,913. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Wyandot Memorial Hospital range from $850 to $2,392 across 4 insurers. Aetna's rate is $850. The median at nearby comparable hospitals is $4,591. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wyandot Memorial Hospital range from $113 to $134 across 4 insurers. Cigna's rate is $131. The median at nearby comparable hospitals is $201. What a patient pays depends on their plan's deductible, coinsurance and network status.
Wyandot Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Wyandot Memorial Hospital is located at 885 North Sandusky Avenue, Upper Sandusky, OH 43351. Its main phone number is (419) 294-4991.
Wyandot Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 361329.
The National Provider Identifier (NPI) on file for Wyandot Memorial Hospital is 1477554475.
Wyandot Memorial Hospital is affiliated with Ohio State University Health System.
Wyandot Memorial Hospital lists 32 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
119 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers